Organization
OSTEOPATHIC PHYSICIANS OF THE POTOMAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY KAISER DO (OWNER)
(301) 660-8855
Entity
Organization
Contact information
Practice address
10810 DARNESTOWN RD STE 205, GAITHERSBURG, MD 20878-2601
(301) 660-8855
Mailing address
9300 CORPORATE BLVD APT 1347, ROCKVILLE, MD 20850-3795
(601) 466-4351
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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